Keywords
Spiegelian hernias; Raphy; Strangulated
Abstract
Spiegelian hernia is a rare entity, accounting for 0.10 to 1% of hernias. It is a protrusion of a peritoneal sac through an acquired or congenital anatomical orifice of the Spiegel line or semi-lunar fascia. We report a case of Spiegelian hernia in a 4-year-old girl with no pathological history, received for a right para rectal mass. Physical examination revealed a non strangulated spiegelian hernia of 13 × 12 cm. It was treated by a peritoneal closure according to lazaro Dasilva’s like technique with interposition of a polypropylene mesh. Spiegelian hernias are rare congenital malformations in children. It can be diagnosed clinically but sometimes requires paraclinical explorations (sonography or computed tomography). Surgical management has good results.
Citation
Diouf C, Sow O, Diallo I, Coulibaly S and Ngom G. Management of Giant Spiegelian Hernia in Ziguinchor Regional Hospital: A Case Report. SM J Pediatr Surg. 2017; 3(4): 1055.